Nurse Policy Analyst - Medicaid Health Policy Lead (Remote)
Texas Health and Human Services
- Remote job
Texas Health and Human Services in Austin, TX, is seeking a Nurse IV to lead complex analyses of Medicaid benefits and mentor staff. The role requires strong writing, literature review skills, and the ability to translate findings into policy recommendations. The Nurse Policy Analyst reports to the Medical Benefits Policy Manager, guiding internal workgroups and cross‑agency collaboration to develop Medicaid benefit policy. Telework is available for this regular full‑time position. #J-18808-Ljbffr Texas Health and Human Services
$102.18k
...Lead Customer Solution Center Appeals and... ...in 1997, L.A. Care Health Plan is an... ...alignment with L.A. Care policy and procedures along... ...'s Degree in Nursing for Registered Nurses... ...years in Medicare/ Medicaid in a managed care/... ..., a hybrid remote schedule, and occasional...Remote workFull timeShift workWeekend work- ...Description Job Description Job Title: Medicaid Policy & Program Analyst Job Type: Part-Time Job Location: Remote Job Summary: Genesis... ...· Experience supporting state government health and human services agencies. Minimum...Remote workPart time
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- ...Nursing Position Mass General Brigham relies on a... ...researchers, and systems analysts to advance our mission.... ...groups of patients. Acts in lead capacity to other... .... Complies with all policies and standards. Qualifications... ...Constantly (67-100%) Remote Type Onsite Work...Remote workShift work
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$80k - $85k
...interested in using the tools of law and policy to advance health equity? Do you have experience using... ...change? We are seeking a Policy Analyst to join our interdisciplinary team as... ...the capacity to work independently in a remote or hybrid work environment Ability...Remote workFull timeFixed term contractWork at officeLocal areaWork from homeFlexible hours- ...Provides on call registered nursing support outside of regular business... ...outcomes. Adheres to Mercy policies, approved protocols,... ...Proficiency with electronic health records and related clinical... ...coverage needs. May require remote work, on‑site presence, or a...Remote workFull timeWeekend work
- ...Quality of Care issues based on clinical policies and benefit determinations. Considers... ...of experience as an RN ~ Registered Nurse in state of residence ~ Must have prior... ...MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. MUST HAVE UM experience,...Remote work
$27.59 - $56.63 per hour
...This position will offer remote work flexibility, but... ...Opportunity for a Registered Nurse who has a US license in... ...standing to join our Medicaid Team as a Clinical... ...assessment, behavioral health, and/or other clinical... ...departmental standards, policies and protocols. • Maintains...Remote workHourly payWork experience placementWork at officeMonday to Friday- ...Position Summary Concurrent Review Nurse is responsible for performing... .... Familiarity with Medicare/Medicaid and commercial insurance... ...organizational skills. Work Environment Remote Equal Opportunity Employer... ..., state, or local laws. This policy applies to all employment...Remote workApprenticeshipLocal area
- ...Remote, RI Contract Job Description: Responsible for the review and evaluation... ...apply appropriate clinical criteria and policies in line with regulatory and accreditation... ...MUST HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. MUST HAVE UM experience,...Remote workContract work
$142.3k - $195.7k
...caring community The Lead Solutions Architect... ...leadership for CenterWell Home Health programs and platforms,... ...Safety guardrails, policy enforcement, governance... ...: While this is a remote position, occasional travel... ...people with Medicare and Medicaid, families, individuals,...Remote workFull timeTemporary workFor contractorsWork at officeWork from homeHome office- ...Active Registered Nurse (RN) License 3+ years... ...independently in a remote and field-based... ...Good to Have) Home Health experience Pediatric... ...nursing experience Medicaid or Managed Care experience... ...with Team Leads and clinical leadership... ...Disclaimer AI Usage Policy: Pacer Group uses...Remote workContract workHome officeMonday to Friday
$71.1k - $97.8k
...Management Registered Nurse uses clinical nursing skills... ...Facility (SNF), Home Health, and Durable Medical... ...Experience working in a fully remote, metrics‑focused role.... ...Plan or Medicare/Medicaid Experience. Call center... ...to affirmative action policies and baselines employment...Remote workBi-weekly payTemporary work$26.41 - $51.49 per hour
...Clinician supporting our Medicaid members who have... ...discharge to either a nursing facility or back to their... ...This is a telephonic remote position and productivity... ...Experience in a behavioral health setting would be a plus... ...guidelines, insurance policies, and regulations - ensuring...Remote workHourly payWork experience placementWork at officeMonday to FridayWeekend work- ...supports the goal to put health first? The DOW... ...Behavioral Health Registered Nurse (RN) Intern will report... ...manager of the National Medicaid team. You will utilize... ...on prior authorization policies, criteria, and review processes... ...difficulties in a remote environment....Remote workFor contractorsApprenticeshipInternshipWork from homeHome officeWeekday work
$2,116 per week
...Registered Nurse (RN) | Progressive Care Unit Location... ...NC Agency: Cynet Health Pay: $2,116 per... ...of dysrhythmias and remote monitoring is required.... ...additional requests could lead to cancellation. The... ...comply with the call-off policy, which is strictly...Remote workFull timeContract workLocal areaShift workNight shiftWeekend work$2,179 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Roanoke, VA Agency: Cynet Health Pay: $2,179 per week Shift Information... ...the submission. CALL OFF POLICY: Facility is allowed to call... ...Lasix, Lidocaine, and Ketamine. Remote telemetry with monitors...Remote workFull timeContract workLocal areaShift workNight shiftWeekend work$18 per hour
...Join to apply for the Home Health Registered Nurse Full Time role at RemoteWorker... ...has facilities. This policy applies to all terms and conditions... ...accepting Medicare and Medicaid funds, employees must... ...Time Registered Nurse (RN) Remote/Hybrid RN - Registered Nurse...Remote workFull timePart timeLocal areaRelocation packageMonday to FridayWeekend work$85k - $90k
...TREND Health Partners is a tech-enabled payment integrity company... ...parental leave, and more. The Nurse Coder DRG Auditor’s primary... ...and ICD-10 guidelines Apply policies, procedures, guidelines and regulations... ...by Centers for Medicare and Medicaid Services (CMS), commercial...Remote workWork at office$2,125 per week
...Registered Nurse (RN) | Telemetry Location: Wilmington, NC Agency: Cynet Health Pay: $2,125 per week Shift Information... ...Interpretation of dysrhythmias and remote monitoring experience - Pre/... ...are essential. Call-off policy is strictly enforced....Remote workFull timeContract workShift workNight shift$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Summary:... ...standards of practice with the policies, values, and mission of the organization... ...situations utilizing nursing standards and protocols for treatment... ...stay market competitive. Health and well-being Medical,...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$29.1 - $62.32 per hour
...UM Nurse Consultant We're building a world of health around every individual — shaping a more connected... ...evening hours. Fully Remote- WFH Schedule: Monday... ...criteria/guideline, policy, procedure and clinical... ...Knowledge of Medicare/Medicaid Managed care experience...Remote workHourly payFull timeTemporary workWork at officeWork from homeMonday to FridayAfternoon shift$112k - $128k
...Description Job Description Habitat Health empowers older adults to... ...Health is supported by leading healthcare organizations and investors... ...more, visit Location: Remote, SoCal (South LA, West Covina... ...of the Company. Vaccination Policy, including COVID-19 To help...Remote workContract workTemporary workFixed term contractWork at officeLocal areaFlexible hours$64k - $80k
...As a Fraud and Abuse Review Nurse- Remote at Gainwell, you can contribute... ...help our clients improve the health and well-being of the members... ...programs (Medicare, Medicaid, SCHIP). What you should expect... ...generous, flexible vacation policy, a 401(k) employer match, comprehensive...Remote workFull timeLocal areaWork from homeFlexible hours$29.1 - $62.32 per hour
...We're building a world of health around every individual -... ...and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule : Tuesday... ...clinical criteria/guideline, policy, procedure and clinical... ...Knowledge of Medicare/Medicaid Managed care experience...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$45 - $55 per hour
...PER VISIT Intermittent Care Home Health Nurse (RN) Medicare & Medicaid Location: Port Charlotte and Surrounding... ..., Medicaid guidelines, and agency policies. Responsibilities Provide... ...Hybrid Field patient visits with remote electronic documentation completion....Remote workDaily paidFlexible hours$26.41 - $51.49 per hour
...Job Summary Home Health Care, Hospice Care, Palliative... ...you seeking a unique nursing position that gives you... ...(SDPC) RN. This is a remote position, where you... ...Wisconsin IRIS program – a Medicaid long-term care option... ...Department of Health Services policies and by completing...Remote workHourly payWork experience placementWork at office$1,912 per week
...Registered Nurse (RN) | Med/Surg / Telemetry Location: Greer, SC Agency: Cynet Health Pay: $1,912 per week Shift Information... .... There is an attendance policy for travelers. If more than... ...monitoring or oxygen saturation via remote telemetry. Special...Remote workFull timeContract workShift workNight shiftWeekend work$26.35 - $39.53 per hour
...in the belief that all health consumers are entitled... ...Marketplace, Medicare, and Medicaid. NeueHealth delivers... ...Utilization Review (UR) Nurse is responsible for... ...compliance with health plan policies and clinical guidelines... ...office preferred / remote may be considered. Collaborative...Remote workHourly payWork at office
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